Active NPI
Jessica M Laporte, MA, CCC-SLP
- Speech-Language Pathologist
- Lisle, IL
National Provider Identifier
1376962332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12151107
- Practice address
- 2500 Cabot Dr
Lisle, IL 60532-3607 - Phone
- (630) 864-3800
- NPI assigned
- Apr 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12151107 | Primary | |
| Speech-Language Pathologist | 235Z00000X | 146.011954 | IL |
Addresses
Primary practice location
2500 Cabot Dr
Lisle, IL 60532-3607
Mailing address
309 S Wa Pella Ave
Mt Prospect, IL 60056-3038
Phone (847) 392-6180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.011954 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1376962332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 S WA PELLA AVE",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600563038",
"telephone_number": "847-392-6180",
"fax_number": "847-392-6180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 CABOT DR",
"city": "LISLE",
"state": "IL",
"postal_code": "605323607",
"telephone_number": "630-864-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPORTE",
"first_name": "JESSICA",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-07",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": "12151107",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.011954",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.